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DISCHARGE PLANNING
Goal: To prevent/minimize the complications of scabies
To prevent recurrence or spread
To help pt performs ADL with assistance into total independence.
To help pt to cope with positive manner which is essential for future planning.
To be able the members of family to understand the disease and be a part of ptǯs
recovery by continuing care and support at home.

M-edication
Instruct the patient/family to continue prescribed oral/cream medications given and to
take them on time.

Various preparations containing D.D.T. powder as: Benzyl benzoate, Benzne

Hexachloride 33%.
1. A prolonged hot bath followed by 2-3 applications of any of these preparations,
each one every 12 hrs. Twelve other hours after last application, another hot
bath is taken. This is usually enough to get rid of infestation.
2. If this is not available, old fashion sulphur- ointment 5% may be used.
3. Broad-spectrum antibiotics to combat secondary infection.
4. Itching may continue after treatment begins, but will disappear if you follow your health
care provider's prescribed treatment plan. You can reduce itching with cool soaks and
calamine lotion. Your doctor may also recommend an oral antihistamine.

E- xercise
Instruct the family to assist pt on exercising the affected side of the body and independently
on the unaffected side.
Light massage can also be done by the family to increase circulation.

T-reatments
1. Instruct patient to apply the cream at bedtime, from neck down to toes, covering the
entire body.
2. Advise patient to report any skin irritation.
3. Suggest the family members and other close contact of the patient be checked for possible
symptoms and be treated if necessary.

4. If patient is hospitalized, practice good handwashing technique, or use gloves

while performing nursing procedure.

5. Terminal disinfection should be carried out after discharge of patient.

H-ealth Teaching
1. Good personal hygiene daily bath; washing the hands before and after eating,
and after using the toilet; cutting off fingernails.
2. Regular changing of clean clothing beddings and towels.
3. Eating the right kind of food like rich in Vitamin A and Vitamin C such as
green leafy vegetable and plenty of fruits and fluids.
4. Keeping the house clean.
5. Improving the sanitation of the surroundings.

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Instruct the pt to return for scheduled follow up, check up and frequent communication to
ensure continuity of ptǯs care and recovery.
If new problem or complication arises, follow up for general care and medication renewal

D- ietc
Instruct to feed foods reach in vitamin C and A
Vitamin C are citrus fruits, tomatoes, potatoes,cabbage,and peppers,vitamins c is needed for
adequate body functioning because of its importance in tissue healing, resisting
infections,collagen repair, and aiding in response to stress.
Vitamin A is necessary for healthy epithelial tissues in the skin,l major foos sources include
beef,liver,green leafy vegetables, yellow or orange vegetables,milk, cheese and eggs
Adequate fluid intake.

Spiritualcc
Advice is always essential to give guidance and hope for the pt.
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promotes social interaction/participation with others because faith is an important factor
that enable them to cope. Spiritual involvement essential for a better health outcome, thus
improving recovery.